Application Form for the Indian Passport
CONSULATE GENERAL OF INDIA
3 EAST 64T H ST REET (Bet. Madison and Fifth Avenue) NEW YORK, NY 10065 T EL (212) 774-0600. Fax (212) 570-9581 E-mail: passport@indiacgny.org For more information visit our w ebsite:
ONE P ASSP ORT SIZE P HOT OGRAP H HERE Pl ease sign in the box bel ow
PASTE
www.indiacgny.org
.
APPLICATION FORM FOR INDIAN PASSPORT
THIS FORM IS FOR ISSUE OF FRESH PASSPORT AFTER 10 YEARS (FINAL) & DUPLICATE PASSPORT. ALSO FOR ADDITIONAL BOOKLET/CHANGE OF NAME/APPEARANCE/PLACE OR DATE OF BIRTH
♦ ♦ PLEASE READ I NSTRUCTI ONS CAREFULLY BEFORE FI LLI NG I N THI S FORM. Instructions can be obtaine d from the Consulate Ge ne ral of India, Ne w York or from our we b site . Incomple te application will not be accepted. This form may be duplicate d if re quire d. Ef f ective 1 February 2003. Enclose your present passport (even though expired); required num ber of photographs as m entioned in instructions (4 photos for Fresh Passport Application); Photocopy of first five and last tw pages of your passport and pages indicating o U.S. visa; Green Card/Em ploym ent Authorization card/Valid Visa Status (along w originals); Notarized copy can be ith sent if applying by m ail. Applications are acce pte d from 9.15 A.M. to 12:15 P.M. on working days and passports de live re d irre spectiv of date e of application only be twe e n 4:30 to 5:15 P.M. Send exact am ount of FEE either in the form of m oney order/certified check payable to Consulate General Of India or in CASH in bills no larger than $50/-. WE DO NOT ACCEPT PERSONAL CHECKS. Use only one formof paym ent. DO NOT SEND CASH IF APPLYING by mail. Also e nclose payme nts (US$ 10 for priority mail or US$ 20 for Express mail) for re turn of se rvice d docume nts by mail.
♦ ♦ ♦
1. (a) FULL NAME (Expanded Initials)____________________________________________________________
__________ (Surname) (Given Names) (b) Aliases, if any ____________________________________________________________
3 EAST 64T H ST REET (Bet. Madison and Fifth Avenue) NEW YORK, NY 10065 T EL (212) 774-0600. Fax (212) 570-9581 E-mail: passport@indiacgny.org For more information visit our w ebsite:
ONE P ASSP ORT SIZE P HOT OGRAP H HERE Pl ease sign in the box bel ow
PASTE
www.indiacgny.org
.
APPLICATION FORM FOR INDIAN PASSPORT
THIS FORM IS FOR ISSUE OF FRESH PASSPORT AFTER 10 YEARS (FINAL) & DUPLICATE PASSPORT. ALSO FOR ADDITIONAL BOOKLET/CHANGE OF NAME/APPEARANCE/PLACE OR DATE OF BIRTH
♦ ♦ PLEASE READ I NSTRUCTI ONS CAREFULLY BEFORE FI LLI NG I N THI S FORM. Instructions can be obtaine d from the Consulate Ge ne ral of India, Ne w York or from our we b site . Incomple te application will not be accepted. This form may be duplicate d if re quire d. Ef f ective 1 February 2003. Enclose your present passport (even though expired); required num ber of photographs as m entioned in instructions (4 photos for Fresh Passport Application); Photocopy of first five and last tw pages of your passport and pages indicating o U.S. visa; Green Card/Em ploym ent Authorization card/Valid Visa Status (along w originals); Notarized copy can be ith sent if applying by m ail. Applications are acce pte d from 9.15 A.M. to 12:15 P.M. on working days and passports de live re d irre spectiv of date e of application only be twe e n 4:30 to 5:15 P.M. Send exact am ount of FEE either in the form of m oney order/certified check payable to Consulate General Of India or in CASH in bills no larger than $50/-. WE DO NOT ACCEPT PERSONAL CHECKS. Use only one formof paym ent. DO NOT SEND CASH IF APPLYING by mail. Also e nclose payme nts (US$ 10 for priority mail or US$ 20 for Express mail) for re turn of se rvice d docume nts by mail.
♦ ♦ ♦
1. (a) FULL NAME (Expanded Initials)____________________________________________________________
__________ (Surname) (Given Names) (b) Aliases, if any ____________________________________________________________